Evidence map›Paper›PMID 35603531›Full record

SynthesisESC heart failure2022

Sex differences in efficacy of pharmacological therapies in heart failure with reduced ejection fraction: a meta-analysis.

Cecilia Danielson, Gabriele Lileikyte, Wouter Ouwerkerk, Carolyn S P Lam, David Erlinge, Tiew-Hwa Katherine Teng

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in ESC heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Migraine in men.The journal of headache and pain · 2025
    Review
  6. Article
  7. Article
  8. Italian Association of Hospital Cardiologists Position Paper 'Gender discrepancy: time to implement gender-based clinical management'.European heart journal supplements : journal of the European Society of Cardiology · 2024
    Article
  9. Review
  10. Review
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 5 countries.

Cecilia DanielsonNational Heart Centre Singapore, 5 Hospital Drive, Level 10, Singapore, 169609, Singapore.ORCID 0000-0002-6331-0845
Gabriele LileikyteNational Heart Centre Singapore, 5 Hospital Drive, Level 10, Singapore, 169609, Singapore.ORCID 0000-0002-6778-6269
Wouter OuwerkerkNational Heart Centre Singapore, 5 Hospital Drive, Level 10, Singapore, 169609, Singapore.ORCID 0000-0002-2000-9358
Carolyn S P LamNational Heart Centre Singapore, 5 Hospital Drive, Level 10, Singapore, 169609, Singapore.ORCID 0000-0003-1903-0018
David ErlingeDepartment of Cardiology, Clinical Sciences, Lund University, Skåne University Hospital, Lund, SE-221 85, Sweden.ORCID 0000-0003-3042-5766
Tiew-Hwa Katherine TengNational Heart Centre Singapore, 5 Hospital Drive, Level 10, Singapore, 169609, Singapore.ORCID 0000-0002-8431-9961
Lund University · SEAmsterdam Neuroscience · NLThe University of Western Australia · AUUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsRecent studies have suggested potential sex differences in treatment response to pharmacological therapies in heart failure (HF). We performed a systematic review and meta-analysis of studies comparing treatment effects between men and women with HF and reduced ejection fraction (HFrEF) using established guideline-directed medical therapy and other emerging pharmacological treatments. METHODS AND

resultsSystematic search was performed on PubMed, Embase, and Cochrane Library for randomized controlled trials published in 1990-2021. Outcomes were all-cause mortality and combined outcome of all-cause mortality and/or hospitalization for HF. Of 618 articles identified, 25 articles and 100 213 patients (mean age 62 ± 1.7 years, women 23.1%, mean left ventricular ejection fraction 26.6 ± 1.3%) were included in the systematic review and meta-analysis. For the outcome of all-cause mortality, there was no evidence of treatment heterogeneity by sex for renin-angiotensin system inhibitors (RASi) [hazard ratio (HR) 0.86 (95% confidence interval 0.75-0.99) in men; HR 0.97 (0.77-1.23) in women; P

conclusionsOur meta-analysis showed no differences between sex in treatment effect for BB and RASi. Review on previously published trials for MRA, SGLT2i, and emerging therapies presented consistent treatment effects between men and women.

Indexed as

Heart FailureSodium-Glucose Transporter 2 InhibitorsAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsFemaleHumansMaleMiddle AgedMineralocorticoid Receptor AntagonistsSex CharacteristicsStroke VolumeVentricular Function, LeftAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsMineralocorticoid Receptor AntagonistsSodium-Glucose Transporter 2 InhibitorsGuideline-directed medical therapyHeart failure with reduced ejection fractionPharmacologySex differences

Identifiers

PMID35603531
PMCPMC9288771
OpenAlexW4281295151

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.